Labs

Question 1

Angina Pectoris

Answer 1

Imaging:
CXR (cardiomegaly)
Stress ECG
CT Angiography

Labs:
hs-CRP (plaque instability)
Troponin, CK, CK-MB, Myoglobin (early), LDH-1 (RO MI)
Lipid panel
Glucose

Question 2

Congestive Heart Failure

Answer 2

Imaging:
ECG
CXR (cardiomegaly)

Labs:
CBC (infx)
UA (proteinuria, CVD)
Electrolytes (KD dsfxn)
BUN/Creatinine (KD fxn)
LFTs

Question 3

Deep Vein Thrombosis

Answer 3

Imaging:
U/S

Labs:
D-dimer
PT, APTT

Question 4

Hypertension

Answer 4

Imaging:
Stress ECG
AP CXR (cardiomyopathy)

Labs:
Hgb A1c (diabetes)
Creatinine (GFR - KD dz)
Lipid panel (CVD)
Urine Micoalbumin (KD dz)
CBC, CMP

Question 5

Acute Gastroenteritis

Answer 5

Imaging:
Abd CT

Labs:
Occult blood
CBC (WBC)
O&P

Question 6

Appendicitis

Answer 6

Imaging:
CT
U/S

Labs:
CBC (WBC)
CRP
UA

Question 7

Crohn’s

Answer 7

Imaging:
Barium enema
Abd X-ray
Endoscopy/Colonoscopy

Labs:
CBC w/ diff (anemia)
Electrolytes
CRP/ESR
Stool studies
p-ANCA, ASCA

Question 8

Gastritis

Answer 8

CBC (anemia)
LFTs, Renal fxn test
Occult blood

Question 9

GERD

Answer 9

Imaging:
Upper endoscopy
Heidelberg test

Question 10

IBS

Answer 10

Imaging:
Colonoscopy
Barium enema

Labs:
CBC w/ diff
CMP (metabolic d/o)
ANCA
Occult blood

Question 11

Pancreatitis

Answer 11

Imaging:
U/S
CT

Labs:
Amylase/lipase
LFTs
Electrolytes
Renal fxn tests
CBC

Question 12

Peptic Ulcer Disease

Answer 12

Imaging:
Upper endoscopy

Labs:
H. pylori testing
Serum gastrin
Occult blood

Question 13

Ulcerative Colitis

Answer 13

Imaging:
Colonoscopy w/ biopsy
Barium enema

Labs:
ANCA
ASCA

Question 14

Rheumatoid Arthritis

Answer 14

Imaging:
X-ray

Labs:
ESR/CRP
CBC 
RF
ANA
anti-CCP

Question 15

Allergic Rhinitis

Answer 15

Imaging:
X-ray
CT

Labs:
Allergy testing
CBC w/ diff

Question 16

Asthma

Answer 16

Imaging:
Spirometry
Pulse Ox
CXR

Labs:
CBC w/ diff
Sputum analysis

Question 17

Bronchitis

Answer 17

Imaging:
CXR
Spirometry

Labs:
Sputum cytology

Question 18

Emphysema

Answer 18

Imaging:
CXR
CT

Labs:
Hematocrit
Arterial blood gas analysis
Serum alpha1-antitrypsin
Sputum analysis

Question 19

Influenza

Answer 19

Imaging:
CXR

Labs:
Rapid tests
Secretion culture

Question 20

Pneumonia

Answer 20

Imaging:
CXR (RO pleural effusions)

Labs:
CBC
Sputum analysis

Question 21

Sinusitis

Answer 21

Imaging: 
CT scan (if complications)

Labs:
CBC (infx)
CRP (inflammation)
Immunoglobulin studies (if recurrent)
Nasal culture

Question 22

Strep Throat

Answer 22

Labs:

Rapid strep test

Question 23

URI

Answer 23

Labs:
Throat swab culture
CBC (WBC)

Question 24

Alcoholic Liver Disease (Cirrhosis)

Answer 24

Imaging:
LV biopsy

Labs:
CRP
Electrolytes

Question 25

Cholecystitis

Answer 25

Imaging: U/S ``` Labs: CBC (WBC) LFTs (mb elev.) Bilirubin/Alk Phos (bile duct obstruction) Amylase/Lipase (RO pancreatitis) UA (RO pyelonephritis) ```

Question 26

Cholelithiasis

Answer 26

Imaging: U/S Abd X-ray ``` Labs: CBC w/ Diff (WBC) LFT (bile duct obstruction) Alk phos/Bilirubin (obstruction) Amylase/Lipase (pancreatitis) ```

Question 27

Meningitis

Answer 27

``` Labs: CBC w/ differential Lumbar puncture Electrolytes (dehydration, SIADH) Glucose BUN Liver profile ```

Question 28

Tuberculosis

Answer 28

Imaging: CXR CT Labs: Acid-fast sputum smear Mantoux skin test HIV serology

Question 29

Migraines

Answer 29

Imaging: MRI/CT Labs: ESR/CRP (suspect giant cell arteritis)

Question 30

Osteoarthritis

Answer 30

Imaging: X-ray Labs: ESR/CRP Rheumatoid factor

Question 31

Sciatica

Answer 31

SLR (+Bragard's, +Sicard's)

Question 32

Contact Dermatitis

Answer 32

Skin scraping | Allergy testing

Question 33

Eczema/Atopic Dermatitis

Answer 33

``` Skin swab (abx sensitivity) Skin scraping (RO tinea) ```

Question 34

Psoriasis

Answer 34

``` Labs: Rheumatoid factor (NEG) ESR (usu. normal) Uric acid (mb elev.) Fungal study (if hand/foot psoriasis worsening w/ topical steroid use) Skin Bx ```